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Therapeutics
Involving patients with type 2 diabetes, hypertension, and hyperlipidaemia in disease management improved outcomes

https://doi.org/10.1136/ebm.8.1.17

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    (2002) Diabet Med 19, 385; Rachmani R, Levi Z, Slavachevski I, et al.. Teaching patients to monitor their risk factors retards the progression of vascular complications in high-risk patients with type 2 diabetes mellitus—a randomized prospective study.. ;. :. –92.
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 QUESTION: In patients with type 2 diabetes mellitus, hypertension, and hyperlipidaemia, does involvement in managing their disease improve outcomes?

    Design

    Randomised (unclear allocation concealment*), unblinded,* controlled trial with 4 years of follow up.

    Setting

    A hospital diabetes outpatient clinic in Israel.

    Patients

    141 patients who were 45–70 years age (mean age 57 y, 51% women) with type 2 diabetes, blood pressure >140 mm Hg systolic or >90 mm Hg diastolic, and hyperlipidaemia. Exclusion criteria included diabetes duration >10 years, body mass index (BMI) >35 kg/m2, smoking, serum creatinine >176 μmol/l, albumin to creatinine ratio ≥200 mg/g, and history of vascular surgery. Follow up was 91%.

    Intervention

    Patients were allocated to the participation programme (PP) (n=71) or to standard consultation (SC) (n=70). Patients in the PP group attended a 1 hour teaching session and were given …

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    Footnotes

    • Source of funding: no external funding.

    • For correspondence: Professor M Ravid, Meir Hospital, Kfar-Sava, Israel. motriv{at}clalit.org.il

    • Abstract and commentary also published in ACP Journal Club

    • ↵* See glossary.